573620072-2-1-2022-53-CC-JLDN-CBYV2U-20220225150341

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 573620072
Report Date: 02/01/2022
Date Signed: 02/01/2022 12:49:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2022 and conducted by Evaluator Chayntel Hunter

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20220128090600

FACILITY NAME:	TWINKLE LITTLE STAR CENTER		FACILITY NUMBER:	573620072
ADMINISTRATOR:	INIGUEZ, JOSEFINA		FACILITY TYPE:	850
ADDRESS:	1401 EAST GUM AVE		TELEPHONE:	(530) 204-9709
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95776
CAPACITY:	35	CENSUS:	DATE:	02/01/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Director, Josefina Iniguez		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Child sustained injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Chayntel Hunter and Erwin Tjhia met with Director, Josefina Iniguez to open and close the complaint investigation regarding the above allegation. During the course of the investigation, LPAs conducted interviews, obtained information, and reviewed video footage pertaining to the allegation. Based on the information obtained, LPAs determined that although an injury did occur, staff witnessed the incident and were available to care for C1. LPAs discussed zoning and supervision of children according to Title 22 regulation to prevent future incidents.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Justin L Denton	TELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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